Jessica Marie Holloway, APRN in Kingman, KS - Medicare Nurse Practitioner

Jessica Marie Holloway, APRN is a medicare enrolled "Nurse Practitioner - Primary Care" in Kingman, Kansas. Her current practice location is 437 Cedar St, Kingman, Kansas. You can reach out to her office (for appointments etc.) via phone at (620) 553-5040.

Jessica Marie Holloway is licensed to practice in Kansas (license number 79848) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1407452212.

Contact Information

	Jessica Marie Holloway, APRN
	437 Cedar St, Kingman, KS 67068-1324
	(620) 553-5040
	Not Available

Map and Direction

Provider's Profile

Full Name	Jessica Marie Holloway
Gender	Female
Speciality	Nurse Practitioner - Primary Care
Location	437 Cedar St, Kingman, Kansas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1407452212
Provider Enumeration Date: 12/07/2020
Last Update Date: 12/08/2020

Medicare PECOS Information:

PECOS PAC ID: 6406260744
Enrollment ID: I20210128001486

Medical Identifiers

Medical identifiers for Jessica Marie Holloway such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1407452212	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP2300X	Nurse Practitioner - Primary Care	79848 (Kansas)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Jessica Marie Holloway allows following entities to bill medicare on her behalf.

Entity Name	Advanced Mobile Healthcare And Community Clinic
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1467825026 PECOS PAC ID: 0749586584 Enrollment ID: O20160304000659

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jessica Marie Holloway is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Jessica Marie Holloway, APRN 180 Ranger St, Haysville, KS 67060-1510 Ph: (316) 680-0258	Jessica Marie Holloway, APRN 437 Cedar St, Kingman, KS 67068-1324 Ph: (620) 553-5040

Reviews and Comments

Nurse Practitioner Nurses in Kingman, KS

Kathleen S Prilliman, A.R.N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 750 W D Ave, Kingman, KS 67068 Phone: 620-532-3147
Kathleen L Smith, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 750 W D Ave, Kingman, KS 67068 Phone: 620-532-0295 Fax: 855-493-0002
Mrs. Logan Leigh Hageman, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 750 W D Ave, Kingman, KS 67068 Phone: 620-532-0295 Fax: 855-483-0002
Ellen Kathleen Mcdonald, A.R.N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 437 N Cedar, Kingman, KS 67068 Phone: 620-532-3101 Fax: 620-532-3427
Dr. Laura C Bevis, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 750 W D Ave, Kingman, KS 67068 Phone: 620-532-0295 Fax: 855-483-0002
Dawna Kay Huhman, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 437 Cedar St, Kingman, KS 67068 Phone: 620-553-5040 Fax: 620-625-4458

Jessica Marie Holloway, APRN - Medicare Nurse Practitioner in Kingman, KS